Webberville Junior Athletic Association

Subscribe to our Newsletter

Player Registration Form

PLAYER INFORMATION

* First Name:

* Last Name:

Street:

City:

State:

Zip Code:

Home Phone:

Birthdate:

Email:

Gender:

Grade:

PARENT/GUARDIAN #1

Firstname:

Lastname:

EMail:

Home Phone:

Work Phone:

Cell Phone:

PARENT/GUARDIAN #2

Firstname:

Lastname:

Email:

Home Phone:

Work Phone:

Cell Phone:

MEDICAL/EMERGENCY CONTACT INFORMATION

Emergency Contact:

Phone:

Relationship to Player:

Insurance Carrier:

Policy #:

What sport are you registering for?:

* Player's age of January 1st, current year:

* Player's Current Age:

Player Shirt Size:

Jersey #:

Player Pant Size:

* Has player participated in organized sports before?:

Yes

Does the player require a sponsorship to assist with registration fee?:

Yes, the Player does require a sponsorship and I am aware of the volunteer commitment that is required.

No, the Player does not require a sponsorship.

* Please acknowledge that you have read the WJAA Parents Code of Conduct.:

Yes, I acknowledge that I have read the WJAA Parents Code of Ethics and Players Code of Ethics.

(Located in "Handouts" on the WJAA website.)

I/We agree with the above. *

Parent #1 Signature:

Parent #2 Signature:

* Today's Date:

Player Registration Fee attached

Cash/Check amount:

***LATE REGISTRATIONS FOR ALL DIVISIONS ARE NOT GUARANTEED PLACEMENT ON A TEAM***

* indicates required fields

OUR SERVICES

LOCAL SPORTS

ELITE

Player Registration Form